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Table 3 Studies investigating the effect of curriculum focussed active breaks on academic and physical activity outcomes

From: Effect of classroom-based physical activity interventions on academic and physical activity outcomes: a systematic review and meta-analysis

Paper/

country

Study design

Sample size

Age

Intervention

Duration

Delivery

Physical activity measure

Academic outcome measure

Study quality

Results

Vazou et al., 2012 [44]

Greece

Within-subject

n = 147

Years 4 to 6

10 mins MPA active break incorporating language arts, math and social studies

Dose: unclear

2 weeks

Senior primary education student teachers

None

Academic motivation: Intrinsic Motivation Inventory

Moderate

Academic motivation: Perceived academic competence increased in intervention compared with control. (F = 4.87, p < 0.05)

Goh et al., 2016 [57]

USA

Within-subject

Students:

n = 210

Classes:

n = 9

Schools:

n = 1

Aged 8 to 12 years

Year 3 to 5

Take 10! = 10 min active breaks incorporating language arts, math, science, social studies and general health

Dose: determined by teacher

8 weeks

Teacher

None

On-task behaviour: direct observation

Moderate

On-task behavior: significant increase in percent on-task behavior from pre-TAKE 10! (82.3 ± 4.5) to post TAKE 10! (89.5 ± 2.7)

Erwin et al., 2013 [41]

USA

Quasi-experimental

Students:

n = 29

Schools:

n = 1

Classes:

n = 2

Mean age: 8.87 years

Year 3

20 + minutes active break incorporating math and reading

Dose: daily

20 weeks

Teacher

Intervention effects of PA on academic outcomes: Pedometer (Walk4Life, LS2500)

Reading and Mathematics: curriculum based measures (CBM), teacher reported grades & standardised test scores (T-PRO, STAR and Discovery Education Assessment)

Moderate

Mathematics: higher scores in intervention compared with control group at time 3 (Mdiff = 10.87, p = 0.003), but not time 1 (Mdiff = 2.75, p = 0.39) or 2 (Mdiff = 2.16, p = 0.49)

Reading: higher scores in intervention group at time 1 (Mdiff = 79.46, p < 0.01), time 2 (Mdiff = 87.41, p < 0.01), time 3 (Mdiff = 92.46, p < 0.01)

Standardised test scores: Trend towards improvement

Bailey & DiPerna., 2015 [40]

USA

Multiple baseline design

Students:

Mean of 16 Year 1 and 14 Year 2 students /classroom

Schools:

n = 1

Classes:

n = 6

Years 1 & 2

Energisers = approx. 10 to 20 min active break incorporating core curriculum

Dose: twice daily

5, 7 or 9 weeks

Teacher

School day PA: New-Lifestyles Accelerometer (NL-800):

Intervention acceptability: student and teacher questionnaire

Weak

Intervention acceptability: Most teachers strongly agreed (11%) or agreed (89%) that Energisers did not adversely affect learning.

Most teachers strongly agreed (11%) or agreed (67%) that students were better able to pay attention following Energisers

76% of students reported being able to pay better attention in class following Energisers

Physical activity: intervention significantly increased school based steps (ES = 0.71 to 1.26)

Fedewa et al., 2015 [42]

USA

RCT

Students:>

n = 460

Schools:

n = 4

Years 3 to 5

5 min active breaks incorporating core curriculum, totaling 20 mins PA per day

Dose: daily

1 year

Teacher

To explain variance in fluid intelligence and academic achievement scores:

pedometer (Walk4Life)

Fluid intelligence: Standard Progressive Matrices

Reading and Mathematics: Measures of Academic Progress

Weak

Mathematics: improvement in intervention, compared with control group: t(33) = 2.17, p = 0.04

Reading: improvement in intervention, compared with control group t(32) = 1.69, p = 0.10

Fluid intelligence: no difference between groups t(36) = 0.23, p = 0.82

Grieco et al., 2009 [43]

USA

Within subject

Students:

n = 97

Schools:

n = 1

Classes:

n = 9

Age 8 to 10 years

Texas I-CAN = one 10–15 min MVPA active break incorporating math, language arts, science, social studies and health

Dose: one off lesson

1-day

Teacher

To compare PA among BMI groups:

pedometer (Omron HJ 105)

On-task behaviour: direct observation

Weak

On-task behaviour: slight increase after intervention lesson compared with control, although not significant (F 1,94 = 2.19,p > 0.10)

Mahar et al., 2006 [22]

USA

Cluster RCT with multiple baseline design

Students:

n = 243

Schools:

n = 1

Classes:

n = 15

Kindergarten to Year 4

Energisers = approx. 10 mins active break incorporating core curriculum

Dose: daily

4 or 8 weeks

Teacher

School day PA:

Pedometer (Yamax SW-200)

On-task behaviour: direct observation (assessed in 2 Year 2, and 2 Year 4 classes)

Weak

On-task behaviour: Improvement in intervention, compared with control group (ES = 0.60). Greatest improvement in on-task behavior for students most off-task (ES = 2.20).

Physical activity: intervention group took more in school steps, compared with control group (ES = 0.49)

  1. Abbreviations:
  2. MVPA: moderate to vigorous physical activity intensity
  3. MPA: moderate physical activity intensity
  4. PA: physical activity
  5. RCT: randomised controlled trial